A review of the nursing role in central venous cannulation: implications for practice policy and research

Aims and objectives. The aim of this article is to review published studies about central vein cannulation to identify implications for policy, practice and research in an advanced practice nursing role.Design. Modified integrative literature review.Methods. Searches of the electronic databases: Cum...

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Main Authors: Alexandrou, Evan, Spencer, T., Frost, S., Parr, M., Davidson, Patricia, Hillman, K.
Format: Journal Article
Published: Blackwell Publishing 2009
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/41157
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author Alexandrou, Evan
Spencer, T.
Frost, S.
Parr, M.
Davidson, Patricia
Hillman, K.
author_facet Alexandrou, Evan
Spencer, T.
Frost, S.
Parr, M.
Davidson, Patricia
Hillman, K.
author_sort Alexandrou, Evan
building Curtin Institutional Repository
collection Online Access
description Aims and objectives. The aim of this article is to review published studies about central vein cannulation to identify implications for policy, practice and research in an advanced practice nursing role.Design. Modified integrative literature review.Methods. Searches of the electronic databases: Cumulative Index of Nursing and Allied Health Literature (CINAHL); Medline, Embase, and the World Wide Web were undertaken using MeSH key words. Hand searching for relevant articles was also undertaken. All studies relating to the nurses role inserting central venous cannulae in adult populations met the search criteria and were reviewed by three authors using a critical appraisal tool.Results. Ten studies met the inclusion criteria for the review, all reported data were from the UK. There were disparate models of service delivery and study populations and the studies were predominantly non experimental in design. The results of this review need to be considered within the methodological caveats associated with this approach. The studies identified did not demonstrate differences in rates of adverse events between a specialist nurse and a medical officer.Conclusions. There were only a small number of studies found in the literature review and the limited availability of clinical outcome data precluded formal analysis from being generated.Relevance to clinical practice. Central vein cannulation is potentially an emerging practice area with important considerations for policy practice and research. Training specialist nurses to provide such a service may facilitate standardising of practice and improving surveillance of lines, and possibly improve the training and accreditation process for CVC insertions for junior medical officers. For this to occur, there is a need to undertake well-conducted clinical studies to clearly document the value and efficacy of this advanced practice nursing role.
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spelling curtin-20.500.11937-411572017-09-13T16:05:30Z A review of the nursing role in central venous cannulation: implications for practice policy and research Alexandrou, Evan Spencer, T. Frost, S. Parr, M. Davidson, Patricia Hillman, K. nurses multiprofessional care critical care central venous cannulae Health Services Research nursing Aims and objectives. The aim of this article is to review published studies about central vein cannulation to identify implications for policy, practice and research in an advanced practice nursing role.Design. Modified integrative literature review.Methods. Searches of the electronic databases: Cumulative Index of Nursing and Allied Health Literature (CINAHL); Medline, Embase, and the World Wide Web were undertaken using MeSH key words. Hand searching for relevant articles was also undertaken. All studies relating to the nurses role inserting central venous cannulae in adult populations met the search criteria and were reviewed by three authors using a critical appraisal tool.Results. Ten studies met the inclusion criteria for the review, all reported data were from the UK. There were disparate models of service delivery and study populations and the studies were predominantly non experimental in design. The results of this review need to be considered within the methodological caveats associated with this approach. The studies identified did not demonstrate differences in rates of adverse events between a specialist nurse and a medical officer.Conclusions. There were only a small number of studies found in the literature review and the limited availability of clinical outcome data precluded formal analysis from being generated.Relevance to clinical practice. Central vein cannulation is potentially an emerging practice area with important considerations for policy practice and research. Training specialist nurses to provide such a service may facilitate standardising of practice and improving surveillance of lines, and possibly improve the training and accreditation process for CVC insertions for junior medical officers. For this to occur, there is a need to undertake well-conducted clinical studies to clearly document the value and efficacy of this advanced practice nursing role. 2009 Journal Article http://hdl.handle.net/20.500.11937/41157 10.1111/j.1365-2702.2009.02910.x Blackwell Publishing restricted
spellingShingle nurses
multiprofessional care
critical care
central venous cannulae
Health Services Research
nursing
Alexandrou, Evan
Spencer, T.
Frost, S.
Parr, M.
Davidson, Patricia
Hillman, K.
A review of the nursing role in central venous cannulation: implications for practice policy and research
title A review of the nursing role in central venous cannulation: implications for practice policy and research
title_full A review of the nursing role in central venous cannulation: implications for practice policy and research
title_fullStr A review of the nursing role in central venous cannulation: implications for practice policy and research
title_full_unstemmed A review of the nursing role in central venous cannulation: implications for practice policy and research
title_short A review of the nursing role in central venous cannulation: implications for practice policy and research
title_sort review of the nursing role in central venous cannulation: implications for practice policy and research
topic nurses
multiprofessional care
critical care
central venous cannulae
Health Services Research
nursing
url http://hdl.handle.net/20.500.11937/41157